Post on 01-Mar-2018
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Hypertrophy Pyloric
Stenosis
305
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I.IDENTITAS PASIEN
Nama : An. Alfano
Umur : 1 bulan
Jenis elamin : !a"i#la"i No. $% : 150&&'(1
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Anamnesis
eluhan Utama: %untah
Se)a" usia 10 hr pasien *i"eluh"anmuntah menyemprot setiap *iberi AS+,
"emu*ian os *iba-a "e $S Aminah*ila"u"an pera-atan selama 1 minunamun ti*a" a*a perubahan, lalu *iru)u""e $SHS. Pasien lahir *ari ibu P&A0, cu"upbulan, lahir spontan, lansun menanis,ri-ayat "ebiruan /#, ! &,5 ". $i-ayatasma /#, aleri obat /#, ri-ayat "e)an /#.
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Pemeri"saan 2isi"
U : A"ti
H$ : 1'5 4mnt $$ : 3( 4mnt : &,1 "
Sat6& : 778 /u*ara bebas Suhu : 3(,9 o
epala : "on)unti;a anemis ##, s"lera i"teri" ## %alampati sulit *inilai
!eher : $6% bai"
"a, rh ##, -h ##
Ab*omen : supel, U /?, oli;e sin /?
@"stremitas : a"ral hanat, $< &B
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!aboratorium
Hb Ht L Tr PT INR APTT
15,6 '3 1'300 193000 11,3 1,0( &9,(
Na l a %
126 ',& 101 5,03 1,97
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Cianosa : Hypertrophy PyloricStenosis
$encana : Pyeloromyotomy perlaparascopy
Assesment : ASA +++
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P!ANN+ND P$@ 6P
ore"si hiponatremia *n Nal 38 30cc&' )am
%aintenance +=2C Nal 0,78 9 cc)am
ND< *ipasti"an terpasan
Puasa ( )am preop
+norm consent
+=2C *ipasti"an lancar
Se*ia *arah
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+NCUS+ # %A+N
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P6S< 6P@$A
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H+P@$
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Symptoms an* Sin
Pro)ectile ;omitin, non bilious,persistent, imme*iately ater meals
!ost o -eiht
Cehi*rasi
6li;e sin
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!aboratory
Hyponatremia
Hypo"alemia
Hypochloremic Al"alosis metaboli"
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USD
Pyloric muscle thic"ness I ' mm
Pyloric channel lenth I 1 mm
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Pyloromyotomy
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erima Kasih